Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.08 / $228.42 / $400.89	Facility		$57.08	$228.42	$400.89
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.28 / $10.28 / $16.60	Facility	26	$10.28	$10.28	$16.60
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $21.47 / $396.15 / $404.74	Facility	TC	$21.47	$396.15	$404.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.51 / $31.75 / $49.28	Professional		$27.51	$31.75	$49.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.61 / $10.28 / $39.60	Professional	26	$8.61	$10.28	$39.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.37 / $23.80 / $76.50	Professional	TC	$19.37	$23.80	$76.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $80.33 / $83.97	Professional		$65.09	$80.33	$83.97
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.07 / $23.53 / $24.59	Professional	26	$19.07	$23.53	$24.59
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.03 / $56.80 / $59.37	Professional	TC	$46.03	$56.80	$59.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $36.90 / $36.90	Facility		$36.90	$36.90	$36.90
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.16 / $11.16 / $11.16	Facility	26	$11.16	$11.16	$11.16
Cigna Facility/Professional Facility Modifier TC Low / Median / High Price $26.10 / $26.10 / $26.10	Facility	TC	$26.10	$26.10	$26.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.39 / $56.73 / $86.44	Professional		$33.39	$56.73	$86.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.30 / $17.76 / $24.98	Professional	26	$10.30	$17.76	$24.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.20 / $38.11 / $59.65	Professional	TC	$25.20	$38.11	$59.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.75 / $53.87 / $66.30	Facility		$31.75	$53.87	$66.30
Medica Facility/Professional Facility Modifier TC Low / Median / High Price $73.00 / $110.18 / $176.00	Facility	TC	$73.00	$110.18	$176.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $64.84 / $218.00	Professional		$32.11	$64.84	$218.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $21.46 / $87.52	Professional	26	$11.22	$21.46	$87.52
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $22.55 / $43.34 / $206.00	Professional	TC	$22.55	$43.34	$206.00
United Facility/Professional Professional Modifier Low / Median / High Price $34.01 / $61.43 / $79.75	Professional		$34.01	$61.43	$79.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.46 / $20.38 / $25.64	Professional	26	$11.46	$20.38	$25.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.55 / $39.63 / $54.11	Professional	TC	$22.55	$39.63	$54.11